Active NPI
Sandra E Saenz Rivera, PA
- Physician Assistant
- Tempe, AZ
National Provider Identifier
1336827443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10456
- Practice address
- 2727 W Baseline Rd
Tempe, AZ 85283-1067 - Phone
- (602) 323-9004
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10456 | AZ | Primary |
| Medical Physician Assistant | 363AM0700X | 001696-P.A. | PR |
Addresses
Primary practice location
2727 W Baseline Rd
Tempe, AZ 85283-1067
Mailing address
2018 S 82ND LN
Phoenix, AZ 85043-7416
Phone (602) 554-6518
Other practice location 1
2018 S 82nd Ln
Phoenix, AZ 85043-7416
Phone (602) 554-6518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001696-P.A. | PR | MD | Medical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Exclusive Provider Organization
- Tempe, AZ
- NPI 1609921378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1336827443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 S 82ND LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850437416",
"telephone_number": "602-554-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 W BASELINE RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831067",
"telephone_number": "602-323-9004"
}
],
"practiceLocations": [
{
"address_1": "2018 S 82nd Ln",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850437416",
"country_code": "US",
"telephone_number": "602-554-6518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAENZ RIVERA",
"first_name": "SANDRA",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10456",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "001696-P.A.",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.